Individual
PAUL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559-0287
(907) 543-6300
(907) 543-6366
Mailing address
PO BOX 287, BETHEL, AK 99559-0287
(907) 543-1762
(907) 543-3152
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM# 91001
—
AK
Enumeration date
05/09/2007
Last updated
07/08/2007
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